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一例工作相关背部损伤后偶然诊断出的连体神经根：病例报告

An Incidental Diagnosis of Conjoined Nerve Root After a Work-Related Back Injury: A Case Report.

作者信息

Zickler Christine L, Martinez Elejalde Jose, Landa-Galindez Amalia

机构信息

Occupational Health, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

Occupational Health, Baptist Health South Florida, Miami, USA.

出版信息

Cureus. 2024 Sep 2;16(9):e68436. doi: 10.7759/cureus.68436. eCollection 2024 Sep.

DOI:10.7759/cureus.68436
PMID:39360075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11445797/
Abstract

Conjoined nerve roots (CNRs) are an uncommon condition often overlooked until surgery, posing significant intraoperative risks. This case report discusses a 21-year-old male diagnosed incidentally with a left lumbosacral CNR involving the fifth lumbar (L5) and first sacral (S1) spinal nerve roots following a work-related back injury, emphasizing the importance of preoperative imaging. Accurate early diagnosis of CNRs can prevent surgical complications and guide appropriate management, highlighting the need for careful preoperative planning and patient education.

摘要

连体神经根（CNRs）是一种罕见的病症，在手术前常常被忽视，会带来重大的术中风险。本病例报告讨论了一名21岁男性，在一次与工作相关的背部受伤后，偶然被诊断出患有左侧腰骶部连体神经根，涉及第五腰椎（L5）和第一骶神经（S1）神经根，强调了术前影像学检查的重要性。准确早期诊断连体神经根可预防手术并发症并指导适当的治疗，突出了术前仔细规划和患者教育的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7b/11445797/cff7ed44d325/cureus-0016-00000068436-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7b/11445797/c5880c3db172/cureus-0016-00000068436-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7b/11445797/cff7ed44d325/cureus-0016-00000068436-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7b/11445797/c5880c3db172/cureus-0016-00000068436-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7b/11445797/cff7ed44d325/cureus-0016-00000068436-i02.jpg

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本文引用的文献

1
Conjoined nerve root in a patient with lumbar disc herniation accompanied by a lumbosacral spine anomaly: a case report.腰椎间盘突出症合并腰骶部脊柱畸形患者的神经根融合：病例报告。
J Med Case Rep. 2023 Feb 24;17(1):82. doi: 10.1186/s13256-022-03749-1.
2
Conjoint Nerve Root an Intraoperative Challenge in Minimally Invasive Tubular Discectomy.联合神经根在微创管状椎间盘切除术中的术中挑战
Asian Spine J. 2021 Aug;15(4):545-549. doi: 10.31616/asj.2020.0250. Epub 2020 Nov 16.
3
Radiological anatomical consideration of conjoined nerve root with a case review.
连合神经根的放射学解剖学考量及病例回顾
Anat Cell Biol. 2013 Dec;46(4):291-5. doi: 10.5115/acb.2013.46.4.291. Epub 2013 Dec 24.
4
Conjoined nerve roots of the lumbar spine.腰椎的连合神经根。
Spine J. 2012 Jun;12(6):515-24. doi: 10.1016/j.spinee.2012.06.004. Epub 2012 Jun 30.
5
Clinical features of conjoined lumbosacral nerve roots versus lumbar intervertebral disc herniations.腰骶神经根联体与腰椎间盘突出症的临床特征。
Eur Spine J. 2010 Jul;19(7):1094-8. doi: 10.1007/s00586-010-1329-6. Epub 2010 Feb 21.
6
Conjoined lumbosacral nerve roots compromised by disk herniation: sagittal shoulder sign for the preoperative diagnosis.椎间盘突出症累及腰骶神经根相连：术前诊断的矢状肩征
Skeletal Radiol. 2008 Mar;37(3):225-31. doi: 10.1007/s00256-007-0421-4. Epub 2007 Dec 19.
7
Conjoined lumbosacral nerve roots: current aspects of diagnosis.腰骶神经联合根：诊断的当前情况
Eur Spine J. 2004 Mar;13(2):147-51. doi: 10.1007/s00586-003-0634-8. Epub 2003 Nov 22.